• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.239-248
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• 2002

Objectives: The purpose of this study was to evaluate the effects of assertiveness training on assertiveness behavior, problem solving ability, and interpersonal relationships of nursing college students. Methods: A nonequivalent pre- and post-test experimental design was used. This study included 15 subjects in the experimental group, and 15 subjects in the control group, who were sophomore nursing students recruited from Gachon Nursing School located in Inchon City. The experimental group received 8 series of a ready planned and reorganized assertiveness training course, while the control group did not receive any training. The 120 minute training session was held on a weekly basis. The Maan-Whitney U Test was done to identify the changes in scores of assertiveness behavior, problem solving ability, and interpersonal relationships between the experimental and the control groups, after the assertiveness training. The data were collected before and after each part of the assertiveness training. The data collection period was from May 7 to July 10, 2001. Results: 1) The assertiveness behavior scores of the nursing students who participated in the assertiveness training were higher than those of the nursing students who did not participate in the assertiveness training. 2) The self problem solving evaluation scores of the nursing students who received assertiveness training were higher than those of the nursing students who did not receive the training. 3) The interpersonal relationship scores of the nursing students who participated in the assertiveness training were higher than those of the nursing students who did not participate in the assertiveness training. Conclusion: The study results showed that the assertiveness training was effective in promoting assertiveness behavior, problem solving ability, and changes in interpersonal relationships in nursing college students. It is suggested that well designed strategies are needed in the further studies in order to expand and apply the assertiveness training to other nursing student and nurse cohorts.

• Women's Health Nursing
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• v.19 no.3
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• pp.166-175
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• 2013

Purpose: The purpose of this study was to identify the factors influencing sexual assertiveness in dating college students. Methods: With a cross-sectional survey design, 468 college students who have had dating experiences were recruited and answered questionnaires. Data were analyzed using t-test, ANOVA with Scheffe? test, Pearson's correlation coefficients, and multiple regression. Results: The sexual assertiveness of college students showed significant results: positive correlations with self-assertiveness and negative correlations with traditional sexual attitude, gender role stereotypes. Significant predictors of sexual assertiveness were traditional sexual attitude, gender role stereotypes, and self-assertiveness. These variables explained 37% of the variance in sexual assertiveness. Conclusion: Findings suggest that it is important to identify and improve communication patterns in relation to sexual assertiveness. There is a need for sex education programs for college students that are relevant and effective.

• Journal of Korean Academy of Nursing
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• v.36 no.3
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• pp.468-474
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• 2006

Purpose: The purpose of this study was to analyze and clarify the meaning of the concept, assertiveness. Method: This study used Walker and Avant's process of concept analysis. Results: 1. Attributes of assertiveness were defined as 1) Self-esteem 2) Comprehension to others 3) Clarification of the subject 4) Verbal communication 5) Non-verbal communication 2. The antecedents of assertiveness consist of these facts 1) The occurrence of a conflict situation 2) The occurrence of will to stick to one's opinions 3. There are consequences occuring as a result of assertiveness 1) Positive self-confidence 2) Increased comprehension or consideration to others 3) Expand of mutual respect 4) Maintenance of continuously cooperative relationship with each other 5) Output of acceptable results to each other Conclusion: Assertiveness is a core human behavior and is key to interpersonal relationships. Using the components of the concept of assertiveness, many conflicts in a nursing situation can be effectively prevented.

• Journal of Korean Clinical Nursing Research
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• v.14 no.2
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• pp.93-102
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• 2008

Purpose: The purpose of this study was to investigate the degrees of assertiveness and depression in clinical nurses and identify the relationships between them. Method: The study included 261 clinical nurses working at one university hospital in the Kyunggi province. The assertiveness scale and a micro simple mental diagnosis test were used to assess the variables. Data were analyzed using SPSS. Results: The average assertiveness score was $3.04{\pm}0.38$ and an average depression score $1.23{\pm}0.71$. Statistically significant differences in assertiveness were identified with regards to marital status (p=.034), type of families (p=.005), number of counselling persons (p=.007), and subjective mental health status (p<.001). In addition, the assertiveness scores were statistically significant based on job position(p=.032), and the levels of satisfaction with nursing job (p=.015). There were significant negative correlations between assertiveness and depression of clinical nurses(r=-.237, p<.001). Conclusion: These findings suggest that assertiveness training for clinical nurses is necessary, especially for novice nurses, in order to decrease the level of depression.

• Journal of Korean Academy of Nursing
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• v.33 no.5
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• pp.659-667
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• 2003

Purpose: This study was done to develop an applicable training program for high school girls on sexual assertiveness. Method: The design combined methodological study and non-synchronized quasi experimental study designs. The participants were 174 high school girls from two schools. Two questionnaires were used, one consisted of 23 questions on self efficacy and the other, of 22 items on sexual assertiveness. The SPSS 10.0 program was used for data analysis. Experimental group 1(3 hour program) and experimental group 2(6 hour program) were received on sexual assertiveness. The sexual assertiveness program was carried out by members of the research team. There were no differences in demographic characteristics between control group, experimental group 1, and experimental group 2. Result: There was no significant increase in self efficacy scores in experimental group lover the control group, but there was a significant increase in sexual assertiveness scores in the experimental group lover the control group. There was an increase in self efficacy scores in experimental group 2 over the control group, but it was not significant. There was a significant increase in sexual assertiveness scores in experimental group 2 over the control group. There was no significant increase in self efficacy scores in the experimental group 2 over the experimental group 1, and there was no significant increase in sexual assertiveness scores in experimental group 2 over the experimental group I. Conclusion: The results show that a 3 hour program was as effective as a 6 hour program for sexual assertiveness. Therefore, it is advisable to use a hour program for clinical convenience. But further study is needed to determine the lasting effect on sexual assertiveness.

• Research in Community and Public Health Nursing
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• v.13 no.3
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• pp.556-565
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• 2002

Due to the fact that nurses may deal with diverse populations in the work place, it is very important for then to maintain appropriate interpersonal relationships with clients. Nurses should maintain diverse types of relationships appropriately with patients with special needs and their families during crisis, other nursing colleagues and staff on the same team, clients in the school or work place as well as the community. In particular, a hospital is a society with a system and hierarchy, and the importance of interpersonal relationships is much more emphasized. In interpersonal relationships, it is very important for a person to communicate with others in an accurate manner, and when the communication is not achieved appropriately, the person may have troubles and experience distress and conflicts because of the inaccurate communication of thoughts. According to the findings of previous studies, nurses actually experience much distress in the work place because of the miscommunication that they have with others. The purpose of this study was to observe a correlation between Myers-Briggs Type Indicator and assertiveness behavior, and to exam the effects of assertiveness training on the assertiveness behavior and conflict management mode. The subjects of this study included 20 persons in the experimental group and 20 persons the in control group. Myers-Briggs Type Indicator was applied before the study. The assertiveness training group received six, 120 minutes sessions over a 3 week period. Pre-test on assertiveness behavior, Communication Conflict Inventory-General, Role Conflict Inventory- General, Conflict Management Mode was achieved for all the subjects prior to the training. Post-test was administered to all the subjects one week following the last session. The data were analyzed using SPSS PC program to obtain findings on mean. standard distribution, t-test, and Pearson correlation. The results are as follows: (1) Myers-Briggs Type Indicator Introvert/Extrovert was correlated to assertive behavior and avoid- response type conflict management mode. (2) The assertiveness training was correlated to assertiveness behavior, communication conflict degree, and avoid- response type conflict management mode. (3) The post-test scores between the training group and the control group were significantly different in assertiveness behavior and avoid-response type conflict management mode. It is suggested that more studies need to be done to differentiate the effects of Myers-Briggs Type Indicator and assertiveness training on assertiveness behavior and avoid-response type conflict management mode.

• Women's Health Nursing
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• v.7 no.3
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• pp.305-316
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• 2001

The purpose of this study was to identify characteristics related to self assertiveness in teenage girls, and to identify the relationship between the self assertiveness and sexual experiences in teenage girls in Korea. The subjects for this study were 12,733 girls from an accessible population of 19,000 girls who were a multi-stage cluster sample from a population of 1,988,902 girls attending to 4,684 schools in the seven large cities and nine provinces of Korea. The response rate was 68.9%. Data were collected by mail from October 2 to October 28, 2000. A structured questionnaire of 125 items which included measurement of general characteristics, sexual experiences, and self-assertiveness was used. The sexual experiences were defined as dating, holding hands, putting arms on the shoulders, light kissing, French kissing, touching breasts, touching genitalia, and coitus. The self assertiveness measurement was developed by S. B. Chang et al.(2000) and has a Cronbach's alpha of .6031. Data was analyzed with SPSS 10.0 Program using descriptive statistics, reliability, and t-test. The results of this study are as follows; 1. The subjects were from 9th to 11th graders and 42.7% answered that they followed their partner's request. The range for the self assertiveness score was 7-21 out of a possible range of 7-21. The group of girls who were in vocational schools, lived away from family or in rural areas, attended night school, took part in drinking, smoking, and glue inhalation, who had cyber sex or phone sex or were exposed to pornography, and who had run away from home showed significantly lower self assertiveness scores than those without these characteristics (P<.05). 2. The group which had experience in dating(t=2.379, P=.017), French kissing (t=5.425, P=.000), touching breasts (t=8.637, P=.000), touching genitalia (t=6.057, P=.000), and coitus(t=6.057, P=.000) showed significantly lower self assertiveness scores than the group which had not had these sexual experiences. But there was no difference in the self assertiveness scores between the group which had experience of holding hands, light kissing, and using contraceptives compared to the group which did not. It can be concluded that the group which had delinquent behavior showed lower self assertiveness, and the lower self assertiveness led to unwanted sexual experiences. It is suggested that self assertiveness training be provided for the group with delinquent behavior as a first priority, and then analyze of the process of self assertiveness in relation to sexual experiences.

• Journal of Korean Academy of Nursing
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• v.46 no.4
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• pp.490-500
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• 2016

Purpose: This study was conducted to develop assertiveness training applying Dongsasub training for junior nursing students, and to verify effectiveness of the training on assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Methods: The study design was a non-equivalent control group non-synchronized design. Participants were 63 nursing students in clinical training (31 students in the experimental group and 32 students in the control group). The assertiveness training applying Dongsasub training consisted of four sessions. Outcome variables included assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Data were analyzed using Chi-square, Fisher's exact test and independent samples t-test with SPSS/WIN 21.0. Results: Scores of assertiveness behavior (t=-2.49, p=.015), self-esteem (t=-4.80, p <.001) and clinical competence (t=-2.33, p=.023) were significantly higher and clinical practice stress (t=4.22, p <.001) was significantly lower in the experimental group compared to the control group. Conclusion: Results indicate that the assertiveness training applying Dongsasub training can be used as a nursing intervention to lower clinical practice stress and improve the clinical competence of nursing students.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.4
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• pp.405-413
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• 2019

Purpose: The study was done to investigate the influence of voice behavior, self-esteem and sexual knowledge on sexual assertiveness of nursing college students. Methods: A structured self-report questionnaire was used to measure voice behavior, self-esteem, sexual knowledge and sexual assertiveness. During March, 2019, data were collected from 133 nursing students in D city and G city. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple linear regression with the SPSS/WIN 25.0 program. Results: Voice behavior and self-esteem were positively correlated with the sexual assertiveness of participants, while voice behavior was positively correlated with the self-esteem of participants. Also, self-esteem was a significant predictor of sexual assertiveness in nursing college students. The predictor explained 12% of their sexual assertiveness. Conclusion: The finding indicates that self-esteem is an important factor for sexual assertiveness of nursing students. It is also expected that self-esteem can further promote their sexual assertiveness.

• The Journal of Korean Academic Society of Nursing Education
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• v.4 no.2
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• pp.317-330
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• 1998

A descriptive-explanatory design was employed in this study. The purpose of this study was identify the level of assertiveness and clinical stress and the relationships between assertiveness and clinical stress in nursing students. A convenient sample of 143 nursing students was used for the study. The results of this study are as follows : 1) The level of assertiveness of nursing students was 3.65 in domain of contents, 3.68 in domain of voice, and 4.13 in domain of body language. Thus the level of asertiveness of nursing students was higher in body language. 2) The level of clinical stress of nursing students was 3.73 in domain of clinical education and evaluation by professors, 3.59 in domain of nurses, 3.32 in domain of human relationships, and 3.30 in domain of environment. Thus the level of clinical stress of nursing students was higher in clinical education and evaluation by professors. 3) The assertiveness of nursing students was found significantly related to human relationships. 4) The clinical stress of nursing students was found significantly related to satisfaction of nursing, satisfaction of clinical practice and priority of candidate for nursing. 5) The assertiveness of nursing students was not found significantly related to clinical stress in nursing students.